19915 MAPLEWOOD DR.PDFIIIIIIIIIIIIII
12209
19915 MAPLEWOOD
DR
0 1 6.
ADDRESS: HMr IMA-forrd
F .1
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: Q669 DETERMINATION: F] Conditional Waiver XStudy Req,ired F] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATEI
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):__�
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE S: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S),#:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
LATEMP\DS'rs\Fonns\Street File Checklist.doe
0 #P20 0 CA File No: CaAtm-1
Critical Areas Checklist
Site Information (soils/ topography/ hydrology/vegetation)
1. Site Address/ Location:
2. Property Tax Account Number: OD150W-10000 (15DD
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? Y yes; _ no.
If yes; how is site developed? �Ab\yse
5. Describe the general site topography. Check all that apply.
Flat less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal
distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% (a vertical rise of 10-feet
over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal
distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: 46 t4 �0- ; Approx. Depth:
7. Site contains areas of seasonal standing water: fi (211 ; Approx. Depth: . -
What season(s) of the year?
8. Site is in the floodway floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
Flows are seasonal? - (What time of year?
10. Site is primarily: forested meadow ;shrubs mixed
urban landscaped (lawn, shrubs etc)
11. Obvious wetland is present on site: /7 (�7
For City Staff Use dnly
1. Plan Check Mimber, if applicable? -j�1Lf,)-aCp-!:j--0jqij
2. Site is Zoned?
3. SCS mapped soil type(s)?
-G Ir.-A 0
4. Critical Areas inventory or C.A. map indicates Critical Area on site?. nc-
4 FCQ�eAy- Mj,
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5. Site within designateLart1h sAsidence'landslide hazard area?. No.
Ercr
DETERMINATION
STUDY REQUIRED WAIVER'
Reviewed by. Date- Cd-
#P20
City.1 Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.02il
The Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Development
Permit Applicationfor the City of Edmonds prior to
his/her submittal of the application to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, or
may be, present on the subject property. The information
needed to complete the Checklist should be easily
available from observations of the site or data available at
City Hall (Critical areas inventories, maps, or soil
surveys).
51&/W" 19-16-6e" ,
Date Received: 4�5
,Z 07-
City Receipt#: likgC, bq 3,M
Critical Areas File#: CRA -) QC)-? - C)c=
Critical Areas Checklist Fee: $135.00
Date Mailed to Applicant:
A property owner, or his/her authorized representative,
must fill out the checklist sign and date it, and submit it
to the City. The City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, along with the signed copy
of this form to assist City staff in finding and locating the
specific piece of property described on this fibrin. In
addition, the applicant shall include other pertinent
information (e.g. site plan, topography map, etc.) or
studies in conjunction with this Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersign ed applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, inderrinify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete information ftimished by the applicant, histher/its agents or employees.
By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file this a li tion the behal f the owner as listed below.
pp 7-
SiGNATuRE oF APPLicANT/AGENT ------ DATE /c� Zo 7
Property Owner's Authorization
By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posting attendant to this application.
SIGNAnJRE OF OWNER 9 DATE 2,
Owner/Applicant:
Name
JJJ� J - 7 7 / _5-
9treet Address
)G�,-faeL4t.—
bty " �ta-te Zip
Telephone:
Applicant Represin ive: - ----------
Al� J
Name
nV
Street Address
. e-,eA- V�
City State Zip
Telephone: 0 (0 -L-.
Email address (optional): - Email Address (optional):
0
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CITY OF EDMONDS
CRITICAL AREAS RECONNAISSANCE REPORT
Site Location:
19915 Maplewood Drive
Tax Acct. Number:
00506200001500
Determination:
Study Required
Determination #:
CRA-2007-0022
Applicant:
Mike Parrent
Owner:
Michael Rusbashan
CRITICAL AREAS RECONNAISSANCE REPORT: STUDY REQUIRED
During review and inspection of the subject site, it was found that the site contains and/or is
adjacent to critical areas, including Geologically Hazardous Areas, a Stream, and Fish and Wildlife
Habitat Conservation Areas pursuant to Chapters 23.40 of the Edmonds Community Development
Code (ECDC).
GENERAL CRITICAL AREAS REPORT REQUIREMENTS
Critical Areas Reports identify, classify, and delineate any areas on or adjacent to the subject
property that may qualify as critical areas. They also assess these areas and identify any potential
impacts resulting from your specific development proposal. If a specific development proposal
results in an alteration to a critical area, the critical areas report will also contain a mitigation plan.
You have the option of completing the portion of the study that classifies and delineates the critical
areas and waiting until you have a specific development proposal to complete the study. You may
also choose to submit the entire study with your specific development application.
Please review the minimum report requirements for all types of Critical Areas that are listed
in ECDC 23.40.090.D. There are additional report requirements for different types of
critical areas (see below).
Note that it is important for the report to be prepared by a qualified professional as defined
in the ordinance. There are options on how to complete a critical areas study, and there is
an approved list of consultants that you may choose from. You may contact the Planning
Division for more information.
General Mitigation Requirements for all Critical Areas are discussed in ECDC 23.40.110
through 23.40.140.
REPORT REQUIREMENTS — STREAMS
A stream is located adjacent to the subject property, on the properties directly east of,the subject
property.
• Streams are areas where surface waters produce a defined channel or bed which
demonstrates clear evidence of the passage of water. Streams need not contain water
year-round.
• Streams are regulated as types of Fish and Wildlife Habitat Conservation Areas.
• Streams are classified according to whether or not they run year round and whether or not
they support fish populations according to the classification system listed in ECDC
23.90.010.A.l.
• The minimum buffer widths for streams vary depending on the type of stream and are listed
in ECDC 23.90.040.D.l.
• In addition to the general requirements for Critical Areas reports referenced above, specific
Critical Areas report requirements for Fish and Wildlife Habitat Conservation Areas are
0 0
provided in ECDC 23.90.020.A to C and additional technical information requirements for
streams are listed in ECDC 23.90.020.D.
DEVELOPMENT PROPOSALS ON A SITE WITH A STREAM
Development proposals that encroach into streams or their buffers or building setbacks may be
allowed through the approval of certain processes.
The width of a stream buffer may be reduced through buffer enhancement through the
review of a Stream Buffer Enhancement Plan that meets the specific requirements
referenced in ECDC 23.90.040.D.2. The maximum amount that a buffer can be reduced
through buffer enhancement is 50%.
A buffer may also be modified through a process called buffer averaging. The criteria
applied to buffer averaging are listed in 23.90.040.D.2. The maximum amount that the
buffer width can be reduced at any single location through buffer averaging is 50%.
Development proposals that propose encroachments into buffers beyond what is allowed
through the above methods require a Critical Areas Variance or a Reasonable Use
Exception. If you think that you have a proposal that may require one of these processes,
please contact a Planner for more information.
STUDY REQUIREMENT — FISH AND WILDLIFE HABITAT CONSERVATION AREAS
Since the site is located within a mapped fish and wildlife habitat conservation area, the City would
like to preserve as much of the native vegetation as possible.
DEVELOPMENT PROPOSALS ON A SITE WITH FISH AND WILDLIFE HABITAT
CONSERVATION AREAS
The applicant must submit a clearing/tree cutting plan with any development permit. Tree cuffing
and clearing of native vegetation shall be limited to the footprint of development.
STUDY REQUIREMENT — EROSION HAZARD AREA
It appears that this property contains or is adjacent to an Erosion Hazard Area. Erosion Hazard
Areas include:
* Those areas with Alderwood and Everett series soils on slopes of 15 percent or greater.
Any area with slopes of 15 percent or greater and impermeable soils interbedded with
granular soils and springs or ground water seepage.
Areas with significant visible evidence of ground water seepage, and which also include
existing landslide deposits regardless of slope.
DEVELOPMENT PROPOSALS ASSOCIATED WITH EROSION HAZARD AREAS
Development within an Erosion Hazard Area must meet additional criteria.
For erosion hazard areas with suitable slope stability, the only critical area study needed is
an erosion and sediment control plan prepared in compliance with the requirements set
forth in Chapter 18.30 ECDC as part of the construction documents. This option is at the
director's discretion, per Edmonds Community Development Code section 20.80.050.G.
In areas where the slope stability is not suitable, projects within Erosion Hazard Areas will
require a report by a licensed Geotechnical Engineer or other qualified professional. Note
2
that it is important for the report to be prepared by a qualified professional as defined in the
ordinance.
Report requirements are given in ECDC 23.80.050, and more generally in ECDC
23.40.090.D.
0 Development standards are given in ECDC 23.80.060 and 23.80.070.
STUDY REQUIREMENT — LANDSLIDE HAZARD AREA
It appews that this property contains or is adjacent to a Landslide Hazard Area.
A Landslide Hazard Area is any area with a slope of forty percent (40%) or steeper and
with a vertical relief of ten (10) or more feet (except areas composed of consolidated
bedrock).
0 Landslide Hazard Areas are further defined and illustrated in ECDC 23.80.020.B.
In addition to the general requirements for Critical Areas reports referenced above, specific
Critical Area report requirements for Landslide Hazard Areas are provided in ECDC
23.80.050.
DEVELOPMENT PROPOSALS ASSOCIATED WITH LANDSLIDE HAZARD AREAS
Development is restricted within a Landslide Hazard Area and its buffer.
Projects that will intrude into these areas will require a report by a licensed Geotechnical
Engineer.
0 The criteria that are applied depend on the amount that the buffer is reduced.
The buffer can be reduced to a minimum often (10) feet (with an additional 15' building
setback per ECDC 23.40.280) if a report is prepared that meets the standards listed in
ECDC 23.80.050. The alteration must also meet the requirements listed in ECDC
23.80.060.
In addition, proposals to reduce the buffer to less than ten (10) feet must comply with the
design standards listed in ECDC 23.80.070.A.3.
ALLOWED ACTIVITIES
Certain activities are allowed in or near critical area buffers as specified in ECDC 23.40.20. If you
have any questions about whether your proposed development qualifies as an allowed activity,
please contact a Planner for more information.
EXEMPT DEVELOPMENT PROPOSALS
Certain development proposals may be exempt from Critical Areas Requirements (ECDC
23.40.230). If you think that a specific development proposal may be exempt, contact a Planner
for more information.
NOTE: Cited sections of the Edmonds Community Development Code (ECDC) can be found on
the City of Edmonds website at www.ci.edmonds.wa.us.
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ADDRESS: L
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:- DETERMINATION: n Conditional Waiver *tudy Required []Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR: —
PERMITS (OTHER): d f) J) I
PLANNING DATA CHECKLIST DATED: a�a V
SCALED PLOT PLAN DATED*qk 7 1 If
SEWER LID FEE $: LID#: &I
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED: k0cl
SIDE SEWER PERMIT(S)
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER: g& - g/ - IZ4 j���
LATEMP\DSTs\Fom1s\Street File Checklist.doc
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MAY 0 4 2007
BUIAN FMMEW
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PLANNING DATA STREET
SINGLE FAMILY RESIDENTIAL
Name:
Date: -
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Site Address: og '6 zc)nc/ i)c-.
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Plan Check #: aC�0—okqLt
Project Description: Gqq
Reduced Site Plan Provided: (LEVI NO)
Zoning:
Map Page: oa g�5
Corner Lot: (YES /0
Flag Lot: (YES
Critical Areas Determination #: QM-4 — 0CGnt.
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Study Required — Xre-vr2, Z 'r A
A \0\ C � I I valc-
N't.
El waiver
SEPA Determination: r
Exempt
El Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist 0 APO List with notarized form
Required Setbacks
Street:
Side:
Side: Rear:
ActualSetbacks Dp-c��;Pr
Street:
Side: (At ) c?
Side:
Rear:
s a
Detached Structures: 0c, Z-n-c-:S,
El Rockeries: y ek
)5 Fences/Trellises: t-:X -k5,V'% -'Pe"'Ce,
ecting M iQ
Ba Windows/Proj 0 lation: Afo,-,e kc>,_�,n
Stairs/Deck: f <-a poa,� decle- %"try\ CD, ek---"s
Height
Datum Point:
Datum Elevation:
Maximum Height Allowed:
Actual Height:
Other
Parking Required:
Parking Provided:
Lot Area:
Maximum Lot Coverage: 35% &Q�osed: G
YZI57 tft G W *
Lot Coverage Calculations: '/2o47 +
ADU Created: (YES
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES
Comments
Va.QZ.
Plan Review Planning Data Form 04-11-06.doc
The City of Edmonds
; Irl,
OWNER ......... ........
ADDRESS ... .... . . . .........
APP
JUL 22 1969
APPLICATION
for
SIDDE SEWER PERMIT
EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS
CONTRACTOR 7z
d 0(=
............. I ....... ................................ PERMIT N
. . ........
....... LEGAL DESCRIT ION: LOT No . ............. ...... ...... BLOCK No.
---------------------
NAME OF ADDITION ............. I ............
. . .. . ......
f
Approved:
DATE ......
-7VF
Vr 't:t 4 'T
F EDMONDS
Call PR4 Ds A 6-1107 -when work
CIVIC CENTER —WATER-SEWER, bhPARTMENT. pee
s ready for. Inspection. (No inspee,
MY N12
tiorfis -Saturday, Sund or holidays.) 3329
PE
.-SIDE SEWER k" T
-15
S ......................................... .................................................................................................................
199 �pAf�Kqod Drive
ADDRE S ..........................
Ri- M. Brower Sani Safe
....... .... . ... . 7 .............. 7 ........................................... CONTRACTO ..............................................................................
JUY 69
Peri' ;ssiofi:-1S,,granted: � ........... .............. ... 19 ......... . for ........................ days to REPAIR or CONNECT a side sewer
Sewers, In accordance with application on file and governing: ordinances.
ATTENTION -IS CALLED TO THE FOLLOWING:
NOTE No., I —The owners of the property may, obtain a permit to construct sewer Inside property line. A licensed Side Sewer Contraptor must
be employed to construct side sewer in street area. Do -not cover any portion of sewer before it has been inspected.
Y No. 2—Obtain full information regarding Ordinance .11.16.030 and Regulations governing side sewers when you get permit.
N No. 3—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%.
No bends In grade sharper than 'A will be permitted.
NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to improper work wbich may develop within one year of completion.
NOTE No. 6--It'is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or Its appurT
tenances except to insert the pipe Into the wye.
_W1 ==1__ U 1 7 1WW1
1.r 'SC4TY OF EDMONDS
COMMUNITY SERVICES DEPARTMENT
RIGHT-- . OF -WAY CONSTRUCTION PERMIT ENGINEERINO
A. 9 Owner: Washington Natural Gas Company B. Contractor:
N9ff Mercer Street
.1. oldress
4
'Ie"al 16: N WA 98111
City State zip
t�No - q I — \ \
Issue Date
Name
Mailing Address
City State Zip
State License Number Telephone Numb&
C. 9 Address or Vicinity of Construction: .19915 Maplewood Drive
Type of Work to be Done. Install New Service
D. 0 Work in Connectio* 'With: 0 Sub or Plat ED Single Family 0 City Projects
0 Commercial 0 Multifamily KI Utility
E. 0 Pavement Cut: a] Y E N F. 0 Size of Cut: - X No Cuts
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of�tEdmonds
harmless from any injuries, damages, or claims of any kind or description whatsoever, forseen or unforseen, that may
. :-i
be made against the City of Edmonds, or any of its 6partments or employees, including or not limited to the defense
ti�(
of any legal proceedings including defense costs, co 't�'costs,/anol dttorne'�. f es by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP. AND. MATERIALS FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPtAN'CE'OF THE WORK.
Estimated restoration fees will be held until the final street patch is completed by City forces, at which time a debit or credit will be
processed for issuance to the applicant.
A 24 hour notice is required for inspection; Please call Engineering: 77,1�3202
Work is to be inspected during progress and at completion.
• Restoration to be in accordance with City Code.
• Street to be kept clean at all times.
• Traffic Control to be in accordance with City regulations.
• All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
NO EXCEPTIONS.
I understand the above and that this permit must be available at the job site for. inspection purposes at all times.
April 8, 1991
Signature: Date:
Owner or Contractor
This Permit Must be Posted at the Job Site For Inspection Purposes
Call DIAL -A -DIG Prior to Beginning Work
APPROVED BY: F3VV PERMIT FEE: 3f) Rb tAY 1-f
Z Time Authorized: Void,after days. Restoration Fee:
0 Special Conditions: Receipt No.:
Fund I I I Fee:
Street Cut Dimensions:
U
RELEASED BY\A, 1(Q�*kP__=____ Date _4__AL__9 INSPECTED BY wital uaemW
0
NO WORK TO . BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. Mar�h 1989
FIELD INSPECTION
(FunO, I I - Route copy to Street D6pt,)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial'Work Inspection by'P. W.:
Work Disapproved By:
FINAL APPROVAL BY:
Date:
Eng. Div. July 1985
Addendum to:
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City of Edmonds
Permit Application
Engineering Aide : Kerry Walsh
Washington Natural Gas
622-6767 x 2588 t V)
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FILE COPV
CITY OF EDMONDS' HARVE H. HARRISON
200 DAYTON ST. - EDMONDS, WASHINGTON 98020 - (206) 775-2525 MAYOR
DEPARTMENT OF PUBLIC WORKS
June 29, 1981
r-k
Mr. Ron Harper, Manager
Snohomish County P.U.D.
21018 Highway 99
Lynnwood, Washington 98036
Dear Ron:
SUBJECT: STREET LIGHTING - 19915 MAPLEWOOD DRIVE
The City of Edmonds hereby 'requests your staff to investigate the
following street lighting situation:
19915 Maplewood Drive
Please forward your'recommendations to Bill Nims, Public Works Department,
200 Dayton Street, Edmonds, Washington 98020.
Sincerely,
SON, P.E.
Acting City Engineer
WJN: j ky
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